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Individual

RICHARD CHRISTOPHER ENNIS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MSSW, LCSW, LMFT

Contact information

Practice address
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL, FORT KNOX, KY 40121-5111
(502) 624-9266
Mailing address
2106 BAINBRIDGE ROW DR, LOUISVILLE, KY 40207-1213

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4029
KY
106H00000X
Marriage & Family Therapist
Primary
0570
KY

Other

Enumeration date
12/28/2005
Last updated
09/11/2025
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